HomeMy WebLinkAbout06060066 Application
City of Carmel/ Clay Township c-tJ\. Permit #: (1(./ /J t; fhJl dl
RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, &. Two Family: New Structures, Additions, Remodels, &. Accessory Structures
BUILDER of
RECORD:
~
PHONE
FAX
675
STATE
ZIP
BEST METHOD OF CONTACT:
PROPERTY
OWNER:
Nf?
PHONE
FAX
TY~:I~~L:~I~~~ .'o~ ~ 0 ~
o TOWN H 1'1
o TWO FA " JUN - 6 20Qfu
# of un 0
o MULTH I~
# of Un :
o RESIDEN
Additions, Remodels, Etc.)
STREET ADDRESS
SQ-rn
CllY
STATE
ZIP
LOCATION
&. PROJECT
INFO:
SEmON
ZONING:
I
SQUARE
FOOTAGE'B/I
c;5!-
o
RUCTURE
ADDmON(S)
ADDmON(S)
EL
CCE ORY BUILDING
DETA HED GARAGE
CHED GARAGE
DEMOUTION
c..
PLUMBING CONTRACTOR:
de:{ W1 >n 0- ,<)", n <; -'- J-1 c..
Plumber's Indiana State License #:
(l f I ()()()O /6 )
o
Which plumbing codes will be applied to the construction:
o International Residential Code wI Indiana Amendments
o Uniform Plumbing Code w/Indiana Amendments
(Multi-Family Construction Code)
PROJECT INFORMATION:
Early Release
Permit:
FOUNDATION TYPE:
construction area)
(Check all that apply for the new
o POST & BEAM f!i/ h L ,.:::1
'-Q BASEMENT Vrr-t1 nlSIl~
WALKOUT: 6yn1 N
_Y ^' Manufactured n
~ Trusses: --1.df!- N
/.:\ -/v\ 0 CRAWLSPACE
Lot Split: _Y ~ Sump Pump: --e.:=N 0 SLAB
Does any part of the property lie within a special Flood designation area: _Y
For S.ingle F lPali~'ti~"~G.~SJdiHJGTd~ls, and/or accessory structures, this permit is valid only if construction commences
wit~n ISO ~j:8(thtaiuerri"ptiaJm8 ~* a>>i~Eilmi\!:fiis1.nd must be completed (Certificate of Occupancy issued) within 18 months of the
issuance date. Class I ~SUffif~ttOJCcWt1Efi9b%~he GencraI.Ad.ministrative Ru~es of the Stat~ of Indiana (See 675 lAC 12) regarding expiration
~F'~ "T'- tp1l.e,!rames for begmmng and completmg construction.
T, the undersi ~,a eQ~tc;Q~N, re:cQhb:~MiGJiS:rgement, relocation, or alteration of a structure, or any change in the use of land or
structures r . Cl. fth~RM'tEt:l~l ~SPi1p. to, all applicable laws of the State of Indiana, and the "Zoning Ordinance of Carmel
Indiana -1993ft (Z-289) and amen te unctcr authonl}f~'f I_,e. 36-7 et seq, General Assembly of the State of Indiana, and all Acts amendatory
the~eto. I further certify that only 1m " , and floor drains arc connected to the sanitary sewer. I further certify that the construction will not be
. se.,. : ?"cupie.d until a Certificate of Occupancy has been issu by the Department of Community Services. Cacme: Indiana. . 10
_ - V } fc? /1 r;,
Date ' ,
OFFICE USE ONLY: *********************************************~********~*****************
~ ~~i1ing Fees: -11> () .~ U
INSPECTIONS RE UIRED: I .1 \ !"1 '1 ~ /11
'{J ase Inspections: I ,LI # Charged Re-
er Footi ng nder Slab A"I!lb C:;J c-' 0 ReViews
- ~ Celt. of Occupancy: 1ft;I!2..6,L2. Q
ter"Sase inal Site 0 0
P.R.I.F.:
;;l.iX.90
u
tin
Ro
Additional Fees
- r~'06
(Date)